Pachie Sabuga Chan M.D.P.a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K6286 Issued in TX

Legal business name

PACHIE SABUGA CHAN M.D.P.A

Practice address

19073 Interstate 45 S
Suite 115
Shenandoah, TX 77385-8743

Phone

(936) 271-2227

Fax

(936) 271-2229

NPI assigned

Jan 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pachie Sabuga Chan, M.D.

Title

Doctor

Phone

(936) 271-2227

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1366689879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19073 INTERSTATE 45 S",
            "address_2": "SUITE 115",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858743",
            "telephone_number": "936-271-2227",
            "fax_number": "936-271-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19073 INTERSTATE 45 S",
            "address_2": "SUITE 115",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858743",
            "telephone_number": "936-271-2227",
            "fax_number": "936-271-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACHIE SABUGA CHAN M.D.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "PACHIE",
        "authorized_official_middle_name": "SABUGA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "936-271-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154457901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moses Osoro, M.D.
• Katherine Eileen Otis, PA-C
• Ellen Owens
• James Antwi Owusu, M.D.
• Pachie S Chan MD PLLC
• Krishna K. Pachipala, M.D.
• Andrea Nicole Pallais, PT
• Zan Pan, M.D.
• Shyam Panchal
• Camille Panganiban, COTA

• Family Medicine Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.